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Post-traumatic Bilateral Facial Nerve Palsy: A Case Report.
Rishab Padda1, Manish Gupta2, Isha Goyal1
1Dept. of ENT, Gian Sagar Institute of Medical Science and Research, Patiala, India.
Journal of Maxillofacial and Oral Surgery
|June 2, 2025
Summary
Bilateral facial nerve palsy is a rare condition. This case highlights successful conservative management of post-traumatic bilateral facial nerve palsy with full recovery.
Area of Science:
- Neurology
- Trauma Surgery
Background:
- Bilateral facial nerve palsy is rare, accounting for 0.3%-2% of all facial palsy cases.
- Systemic conditions often underlie bilateral facial nerve palsy, necessitating prompt medical evaluation.
- A comprehensive diagnostic approach including history, examination, and investigations is crucial for identifying the cause.
Observation:
- A young male presented with bilateral facial nerve palsy developing days after head trauma.
- The patient's condition was managed conservatively, with surgical intervention considered if necessary.
- Full recovery was achieved through medicinal therapy.
Findings:
- Conservative management can be effective for post-traumatic bilateral facial nerve palsy.
- Prompt diagnosis and intervention are vital for optimal patient outcomes.
- Maintaining surgical readiness is important in managing such cases.
Implications:
- This case underscores the importance of considering trauma as a cause of bilateral facial nerve palsy.
- Conservative treatment protocols may yield favorable results in select cases.
- Early and multidisciplinary management is key to successful recovery from bilateral facial nerve palsy.
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